FORM 1023-EZ for NAUGHTY PAWS RACCOON RESCUE AND REHAB

Field Data
EIN 82-1404285
Case Number EO-2017125-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAUGHTY PAWS RACCOON RESCUE AND REHAB
Organization’s Mailing Address N6757 COUNTY RD X
City ALBANY
State WI
ZIP 53502
Accounting period End 12
Primary contact name JAMES SWANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES SWANSON
PRESIDENT
N6757 COUNTY RD X
ALBANY WI 53502

Officer/Director/Trustee Two

CHRIS CORNWELL
VICE PRESIDENT
101 W MAIN ST APT 309
ALBANY WI 53502

Officer/Director/Trustee Three

TIM PETIT
TREASURER
2139 17TH AVE
MONROE WI 53566

Officer/Director/Trustee Four

CHRIS RISE
SECRETARY
PO BOX 476
NEW GLARUS WI 53574

Organization’s website
Organization’s email 426RACCOON@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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